人类免疫缺陷病毒感染者接种甲型肝炎疫苗后免疫反应的有效性和持久性。

IF 3.8 4区 医学 Q2 IMMUNOLOGY
Open Forum Infectious Diseases Pub Date : 2025-04-11 eCollection Date: 2025-04-01 DOI:10.1093/ofid/ofaf143
Bahaa Kazzi, Amal Naji, Serena Maria Dib, Lana Khalil, Sonia Tandon Wimalasana, Diane Saint-Victor, Ighovwerha Ofotokun, Nadine Rouphael
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引用次数: 0

摘要

甲型肝炎病毒(HAV)感染是人类免疫缺陷病毒(HIV)感染者严重的健康问题。甲肝病毒和艾滋病毒合并感染与甲型肝炎病毒载量增加、艾滋病毒RNA升高以及肝功能障碍导致的艾滋病毒治疗潜在中断有关。目前在美国有三种预防甲型肝炎的疫苗被批准使用:2种单价灭活疫苗(甲型肝炎灭活疫苗[GSK]和甲型肝炎灭活疫苗[Merck])和1种甲型肝炎(灭活疫苗)和乙型肝炎(重组疫苗)(GSK)。在艾滋病毒感染者(PWH)中,甲型肝炎疫苗的血清转换率和抗体滴度往往比免疫能力强的个体更低,持续时间也更短,CD4细胞计数较低的PWH之间存在显著差异。我们在这篇综述中强调了血清学监测和再接种策略的潜在需求,以优化PWH患者对甲肝病毒的终身保护。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficacy and Durability of Immune Response After Receipt of Hepatitis A Vaccine in People With Human Immunodeficiency Virus.

Hepatitis A virus (HAV) infection is a serious health concern among people with human immunodeficiency virus (HIV). Coinfection with HAV and HIV is linked to increased hepatitis A viral load, elevated HIV RNA, and potential disruption of HIV treatment caused by liver dysfunction. Three vaccines for the prevention of HAV are currently approved for usage in the United States: 2 monovalent inactivated vaccines (hepatitis A vaccine, inactivated [GSK] and hepatitis A vaccine, inactivated [Merck]) and 1 hepatitis A (inactivated) and hepatitis B (recombinant) vaccine (GSK). Among people with HIV (PWH), seroconversion rates and antibody titers to HAV vaccines tend to be lower and less persistent than in immunocompetent individuals, with a notable difference among PWH with a lower CD4 cell count. We highlight in this review the potential need for serologic monitoring and revaccination strategies that would optimize lifelong protection against HAV in PWH.

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来源期刊
Open Forum Infectious Diseases
Open Forum Infectious Diseases Medicine-Neurology (clinical)
CiteScore
6.70
自引率
4.80%
发文量
630
审稿时长
9 weeks
期刊介绍: Open Forum Infectious Diseases provides a global forum for the publication of clinical, translational, and basic research findings in a fully open access, online journal environment. The journal reflects the broad diversity of the field of infectious diseases, and focuses on the intersection of biomedical science and clinical practice, with a particular emphasis on knowledge that holds the potential to improve patient care in populations around the world. Fully peer-reviewed, OFID supports the international community of infectious diseases experts by providing a venue for articles that further the understanding of all aspects of infectious diseases.
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